New Zealand ICP Implementation Guide
1.0.0 - draft
New Zealand ICP Implementation Guide
1.0.0 - draft
New Zealand ICP Implementation Guide, published by Accident Compensation Corporation. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/acc-fhir-publisher/icp/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.
| Capability Statement |
Represents API exposed to enter an ACC integrated Care Pathways (ICP) Episode of Care |
These define forms used by systems conforming to this implementation guide to capture or expose data to end users.
| ACC BIST |
Represents the Brain Injury Screening Tool (BIST) for ACC. |
| ACC Cover and Causation |
Represents the Cover and Causation questionnaire for ACC claims |
| ACC TBI STarT-C |
Represents the STarT-C questionnaire for Traumatic Brain Injury (TBI) patients |
These define constraints on FHIR resources for systems conforming to this implementation guide.
| ACC ICP Case Create Resource |
ICP Case Create is to be used by the supplier to furnish ACC with the required information following the completion of the triage assessment and the decision to accept the patient into their ICP service. |
||||||||||||
| ACC ICP Episode of Care Exit Resource |
This profile supports suppliers needing to inform ACC of a patient being exited from their ICP service. |
||||||||||||
| ACC ICP Episode of Care Exit Resource |
This profile supports suppliers needing to inform ACC of a patient being exited from their ICP service. |
||||||||||||
| ACC ICP Episode of Care Resource |
The ACC ICP Case resource based on Episode of Care |
||||||||||||
| ACC ICP Episode of Care Service Bundle Update Resource |
This profile supports suppliers needing to inform ACC of a change to the selected Service Bundle and/or Exceptional Funding Required. |
||||||||||||
| ACC ICP MSK Case Create Resource |
ICP MSK Case Create is to be used by the supplier to furnish ACC with the required information following the completion of the triage assessment and the decision to accept the patient into their ICP service. |
||||||||||||
| ACC ICP Patient |
The ACC ICP Patient resource based on NzPatient. Used to verify that an ICP Case has a valid claim. |
||||||||||||
| ACC ICP Patient Referral for BIST |
The ACC Patient Referral resource for a BIST measurement. |
||||||||||||
| ACC ICP Referral Decline Resource |
The ICP Referral Decline profile is to be used by ICP suppliers to furnish ACC with the required information following them declining an ICP referral. |
||||||||||||
| ACC ICP Referral Decline Resource |
The ICP Referral Decline profile is to be used by ICP suppliers to furnish ACC with the required information following them declining an ICP referral. |
||||||||||||
| ACC ICP TBI BIST Encounter Resource |
The ICP TBI BIST Encounter profile is to be used by ICP suppliers to send subsequent ACC BIST submissions based on the Encounter resource. |
||||||||||||
| ACC ICP TBI Case Create Resource |
ICP TBI Case Create is to be used by the supplier to furnish ACC with the required information following the completion of the triage assessment and the decision to accept the patient into their ICP service. |
||||||||||||
| ACC Integrated Care Pathway Clinical Observation |
This resource profile supports suppliers providing site-specific clinical measures to ACC for ICP purposes. When the valueQuantity is provided, the value is expressed as a percentage from the following calculation:
|
||||||||||||
| ACC Integrated Care Pathway Observation |
ACC Integrated Care Pathway Observation |
||||||||||||
| ACC Integrated Care Pathway Site-Specific PROM |
This resource profile supports suppliers providing a site-specific patient reported outcome measure (PROM) to ACC. These PROMS must be submitted through the PROM and Clinical measures API via the supplier's PMS at these time-points:
|
||||||||||||
| ACC Integrated Care Pathway TBI BIST |
This resource profile supports suppliers providing a BIST document to ACC. |
||||||||||||
| ACC Integrated Care Pathway TBI BIST |
ACC Integrated Care Pathway TBI BIST |
||||||||||||
| ACC Integrated Care Pathway TBI Cover and Causation |
ACC Integrated Care Pathway TBI Cover and Causation |
||||||||||||
| ACC Integrated Care Pathway TBI Start C |
ACC Integrated Care Pathway TBI Start C |
||||||||||||
| ACC Patient Referral |
The ACC Patient Referral resource. |
||||||||||||
| ACC Provider |
The ACC Provider resource based on NzPractitioner. |
||||||||||||
| ACC Provider |
The ACC Provider resource based on NzPractitioner. |
||||||||||||
| ACC Vendor |
The ACC Vendor resource based on NzOrganization. |
These define constraints on FHIR data types for systems conforming to this implementation guide.
| ACC Provider ID |
This represents the person submitting this form to ACC. It should take the form of their ACC Provider ID. |
| ACC Vendor ID |
This represents the organization through which a provider is submitting this form to ACC. It should take the form of their ACC Vendor ID. |
| BIST Referral |
Integrated Care Pathways BIST Referral Reason |
| Category Co-morbidities |
The complexity category. |
| Category contextual |
The contextual category. |
| Category disciplines |
The complexity category. |
| Category psychosocial |
The psychosocial category. |
| Category vocational |
The complexity category. |
| Client Authority |
Indicates that the Client has agreed to ACC being able to collect, store, use, & share their information. |
| Client Participation Agreement |
Indicates that the Client has agreed to participating in ICP. |
| Complexity Score |
The score (low, medium, high) for each category/sub-category obtained from the ICP complexity assessment/tool. |
| Complexity Scores |
The scores obtained from the ICP complexity assessment/tool. |
| Diagnoses |
The diagnoses for the injury being treated. |
| Diagnosis |
A diagnosis for the injury being treated. |
| Exceptional Funding |
Indicates if exceptional is required for this treatment. |
| Exit Reason |
Integrated Care Pathways Exit Reason |
| ICP IDT Assessment |
Integrated Care Pathways IDT Assessment |
| ICP Referral Declined |
Integrated Care Pathways Referral Declined |
| ICP Service Bundle Change |
An extension to capture the reason for a change in the ICP Service Bundle. |
| ICP Triage |
Integrated Care Pathways Triage |
| Referral Source |
The source of the ICP referral, e.g. ACC referral, GP referral, rongoa referral, etc. |
| Service Bundle MSK |
Indicates the ICP service bundle MSK selected for the treatment. |
| Service Bundle TBI |
Indicates the ICP TBI service bundle selected for the treatment. |
| Stage Care Source |
The stages in the care process that the patient has been through. |
| TBI BIST Referral Source |
The source of the referral to the BIST. |
| Triage Assessment Date |
The date the triage assessment was completed. |
These define sets of codes used by systems conforming to this implementation guide.
| ACC ICD-10 Codes |
ICD-10 codes for health providers in New Zealand for the purpose of mapping SNOMED to Read in the use of registering ACC Claims. |
| ACC ICD-9 Codes |
ICD-9 codes for health providers in New Zealand for the purpose of mapping SNOMED to Read in the use of registering ACC Claims. |
| BIST Answer Option ( Better | Worse | About the same ) |
ValueSet for response options Better, Worse, and About the same. |
| BIST Answer Option ( no | yes ) |
ValueSet for response options Yes and No. |
| BIST Answer Option ( no | yes | unknown) |
ValueSet for response options Yes, No, and Unknown. |
| BIST Ethnicity |
This file contains ethnicities used in the ICP BIST message. |
| BIST Options Range 0-10 ( 0 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 ) |
ValueSet for BIST options range 0-10. |
| CC TBI Referral Type |
The referred to referral type. |
| Complexity Score |
The score (low, medium, high) for each category/sub-category obtained from the ICP complexity assessment/tool. |
| Diagnosis Codes |
The diagnosis codes for the injury being treated. |
| Diagnosis Side |
The body side this diagnosis code relates to. |
| Encounter Class |
The Classification of the ICP referral (Declined) |
| Encounter Participant |
The Participant type of the ICP tbi encounter |
| Encounter Status |
The Status of the ICP referral (Finished) |
| Error |
The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. |
| Exceptional Funding Rationale |
A categorisation of the rationale for exceptional funding being required. |
| Exit Reason |
New Zealand codes for Integrated Care Pathways case exit reasons |
| Exit Reason |
New Zealand codes for Integrated Care Pathways MSK case exit reasons |
| Exit Reason |
New Zealand codes for Integrated Care Pathways TBI case exit reasons |
| ICP Recorded Outcome Stage |
The patient recorded stage of the ICP Observation |
| MSK Referral Source Type |
The source of the referral. e.g. Internal is from within the supplier/consortium group. |
| Observation Status |
The Status of the ICP case final |
| Read Code |
Read codes for health providers in New Zealand for the purpose of mapping SNOMED to Read in the use of registering ACC Claims. |
| Referral Decline Reason |
New Zealand codes for Integrated Care Pathways referral decline reasons |
| Referral Source Type |
The source of the referral. e.g. Internal is from within the supplier/consortium group. |
| Referral TBI Decline Reason |
New Zealand codes for Integrated Care Pathways tbi referral decline reasons |
| STarTC Answer Option ( disagree | agree ) |
ValueSet for response options such as Agree and Disagree. |
| Service Bundle Change Rationale |
A categorisation of the rationale for modifying a service bundle. |
| Service Bundle MSK |
The ICP MSK service bundles available as a selected treatment. |
| Service Bundle TBI |
The ICP TBI service bundles available as a selected treatment. |
| Service Type |
The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. |
| Start-C Overall Options ( not-at-all | slightly | moderately | very-much | extremely ) |
ValueSet for overall STarT-C concussion symptoms with ordinal values. |
| Status |
The Status of the ICP case (Active or Finished) |
| TBI Referral Source Type |
The source of the referral. e.g. Internal is from within the supplier/consortium group. |
| TBI Referral Source Type |
The source of the referral. e.g. Internal is from within the supplier/consortium group. |
| Traumatic Brain Injury and Concussion Snomed Codes |
This ValueSet includes Snomed codes for traumatic brain injury and concussion. |
| clinical-msk-measurement-quantity-type |
This value set identifies the unit of measure for an ICP Clinical MSK Quantity measurement. Note: future versions of this value set will deprecate the 'kg' in favor of '%'. |
| clinical-msk-measurement-standard |
The measurement standards applicable to site-specific clinical measures for ICPMSK. |
| data-absent-reason |
Data Absent Reason |
| prom-msk-measurement-standard |
The measurement standards applicable to site-specific patient reported outcome measures (PROMs) for ICPMSK. |
These define new code systems used by systems conforming to this implementation guide.
| ACC Data Absent Reason |
ACC Data Absent Reason |
| ACC ICD-10 Codes |
The ICD-10 subset accepted by ACC |
| ACC ICD-9 Codes |
The ICD-9 subset accepted by ACC |
| BIST Answer Option ( Better | Worse | About the same ) |
CodeSystem for response |
| BIST Answer Range Option CodeSystem |
CodeSystem for response |
| Complexity Score |
The score (low, medium, high) for each category/sub-category obtained from the ICP complexity assessment/tool. |
| Diagnosis Side |
The body side this diagnosis code relates to. |
| Error |
The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. |
| Exceptional Funding Rationale |
A categorisation of the rationale for exceptional funding being required. |
| Exit Reason |
New Zealand codes for Integrated Care Pathways case exit reasons |
| ICP Recorded Outcome Stage |
The patient recorded stage of the ICP Observation |
| Read Code |
Read codes for health providers in New Zealand for the purpose of mapping SNOMED to Read in the use of registering ACC Claims. |
| Referral Decline Reason |
New Zealand codes for Integrated Care Pathways referral decline reasons |
| Referral Source Type |
The source of the referral. e.g. Internal is from within the supplier/consortium group. |
| STarTC Answer Option |
CodeSystem for response |
| STarTC Answer Option |
CodeSystem for response options such as Agree and Disagree with ordinal values. |
| Service Bundle Change Rationale |
A categorisation of the rationale for modifying a service bundle. |
| Service Bundle MSK |
The ICP MSK service bundles available as a selected treatment. |
| Service Bundle TBI |
The ICP TBI service bundles available as a selected treatment. |
| Service Type |
The type of ICP service. Currently only musculoskeletal (msk) is allowed, with more to be added in the future, e.g. concussion. |
| Start-C Overall Option CodeSystem |
CodeSystem for overall STarT-C concussion symptoms with ordinal values. |
| clinical-msk-measurement-standard |
The measurement standards applicable to site-specific clinical measures for ICPMSK. |
| prom-msk-measurement-standard |
The measurement standards applicable to site-specific patient reported outcome measures (PROMs) for ICPMSK. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| icp-clinical-measurement-shoulder-strength |
A baseline measure of shoulder function through a 'shoulder abduction 45deg hand held dynamometer' test |
| icp-create-case-msk |
Example of an ICP EpisodeOfCare resource for entering into ACC Integrated Care Pathways |
| icp-exit-case |
Example of an EpisodeOfCare with an exit reason |
| icp-exit-case-other |
Example of an EpisodeOfCare with an exit reason of other |
| icp-exit-case-with-supporting-details |
Example of an EpisodeOfCare with an exit reason |
| icp-modify-case |
Example of an EpisodeOfCare service bundle modification request |
| icp-patient-referral-to-idt |
Example of an ICP Patient Referral Community care to IDT |
| icp-prom-measurement |
A baseline KOOS patient-reported outcome measurement |
| icp-prom-measurement-data-absent |
A KOOS patient-reported outcome measurement at exit where the test couldn't be completed |
| icp-referral-decline |
Example of a referral decline Encounter |
| icp-referral-tbi-secondary-care |
Example of an ICP TBI Secondary care referral aka referral into |
| icp-tbi-cover-measurement-internal | |
| icp-tbi-exit-case |
Example of an EpisodeOfCare with an exit reason |
| icp-tbi-referral-decline |
Example of a referral decline TBI Encounter |